Workman Comp Insurance Form 61a
The virginia workers compensation commission will not send this certificate you must download print and or email this certificate to yourself for your proof of submission.
Workman comp insurance form 61a. Click close to return to the form 61a home page. Pursuant to 58 1 3714 the governing body of each county city or town must require every contractor to provide written. For workers compensation insurance questions please contact the virginia workers compensation commission at 804 205 3586. The contractor s certificate of workers compensation insurance form 61a is a form issued by commissioners of revenue all over the commonwealth in conjunction with contractor s business license filings.
L i is workers comp workplace safety labor and consumer protection trades licensing contractor registration and license lookup for public safety in washington state. Enter only workers compensation insurance. Filing a 61a certificate of workers compensation insurance pursuant to 58 1 3714 the governing body of each county city or town must require every contractor to provide written certification at the time of any application for issuance or reissuance of a business license. Virginia workers compensation commission online insurance forms faqs created date.
As part of the investigation. Please ensure that the form is signed the name of the person signing the form is printed on it and the form is properly dated. For workers compensation insurance information for employers click here. In most cases farmers employees not outsourced adjusters manage employee injuries from start to finish.
Also enter the policy or member number and. Instructions for completing the vwc form 61 a. Bring it with you to the commissioner. If typing in the website address to access the 61a form you must enter the entire website address.
The completed form assists the commission in following up with uninsured contractors that may be required to insure under the act. In house workers compensation insurance adjusters. Provide the complete name of the insurance company or other insuring entity providing workers compensation insurance coverage for the business. Virginia workers compensation commission online insurance forms faqs.
Certificate of workers compensation insurance form 61a. Contractors are asked to provide business contact and workers compensation insurance information if applicable and to answer a few questions. Workers compensation insurance is required by law for all washington employers. Contact us if you need help or can t find the workers compensation form your need for washington.
No other form of insurance substitutes.